17 Chronic Renal Failure Nursing Care Plans


Chronic renal failure (CRF) or chronic kidney disease (CKD) is the end result of a gradual, progressive loss of kidney function. The loss of function may be so slow that you do not have symptoms until your kidneys have almost stopped working.

The final stage of chronic kidney disease is called end-stage renal disease (ESRD). At this stage, the kidneys are no longer able to remove enough wastes and excess fluids from the body. At this point, you would need dialysis or a kidney transplant.

Nursing Care Plans

The nursing care planning goal for with chronic renal failure is to prevent further complications and supportive care. Client education is also critical as this is a chronic disease and thus requires long-term treatment.

Below are 17 nursing care plans (NCP) and nursing diagnosis for patients with chronic renal failure or chronic kidney disease:

  1. Risk for Decreased Cardiac Output
  2. Risk for Ineffective Protection
  3. Disturbed Thought Process
  4. Risk for Impaired Skin Integrity
  5. Risk for Impaired Oral Mucous Membrane
  6. Deficient Knowledge
  7. Excess Fluid Volume
  8. Acute Pain
  9. Impaired Renal Tissue Perfusion
  10. Impaired Urinary Elimination
  11. Imbalanced Nutrition: Less than Body Requirements
  12. NEW Activity Intolerance
  13. NEW Disturbed Body Image
  14. NEW Anticipatory Grieving
  15. NEW Risk for Infection
  16. NEW Risk for Injury
  17. Other Possible Nursing Care Plans

Activity Intolerance

Activity Intolerance: Insufficient physiologic or physiological energy to endure or complete required or desired activity.

May be related to

  • Generalized weakness

Possibly evidenced by

  • Reports of fatigue on exertion
  • Lack of energy

Desired Outcomes

  • Child will attain increased tolerance for activity.
Nursing InterventionsRationale
Assess the extent of weakness, fatigue,
ability to participate in active and passive activities.
Provides information about the impact of activities on fatigue and energy reserves.
Encourage quiet play, reading, watching tv, games during times of fatigue.Provides relaxation, stimulation and requires minimal energy expenditure.
Schedule care and provide rest periods following an activity; allow the child to set own limits in the amount of exertion tolerated.Promotes autonomy and control of situations as the presence of a chronic disease may encourage independence.
Explain to child purpose for restrictions; explain when to rest and when to stop an activity to the child.Promotes understanding of the need to conserve energy and rest.
Educate parents and child that complete participation in activities is essential and should be sustained for as long as possible (within capabilities and disease restriction).Promotes an active and normal life for the child with a chronic illness.

See Also

You may also like the following posts and care plans:

Genitourinary Care Plans

Care plans related to the reproductive and urinary system disorders:

Last updated on



Please enter your comment!
Please enter your name here